Resident Handbook - UC Davis Health System

c. When C1 reviews lab and finds an abnormal result, he/she may contact patient,schedule f/u visit with PMD or refer the result to the PMD.d. When referring to PMD, the reviewer will use the purple “abnormal lab” stamp toassure that the PMD addresses the abnormal result.e. C1 will take care of the residents’ abnormal lab while they are on vacation or on“out of town” elective or on Night Float Rotation.f. If abnormal PAP, give copy to Shawn Knauss to assure appropriate f/u &tracking.g. If f/u visit needed for any reason, alert front office to contact the patient toschedule an office visit with PMD.h. Coumadin patients are tracked through nursing, to assure appropriate f/u bypatients.i. After adjusting coumadin dose and date for follow-up PT/INR, give chart tonursing to contact patient.2. Review and Refill Prescriptionsa. All prescriptions for residents on vacation or out of town elective or night floatrotation need to be reviewed.b. If unable to renew prescription for any reason, please note on refill frompharmacy or contact patient, i.e. too long since last visit, needs f/u evaluation,narcotic issues, unclear from chart review what medications patients are taking.c. Do not just authorize refills blindly (see examples in b)d. Only refill specialty clinic prescriptions if patient is seen on ongoing basis atMFHC for specialty clinic care otherwise have the pharmacy send the refillrequest to the patient’s referring (non-MFHC) provider.3. Chart Reviewa. Occasionally there is paperwork that cannot wait until PCP returns from vacationor out of town elective or night float rotation. Complete if needed.b. If unable to complete immediate paperwork because of time constraints or lack ofdocumentation in chart, have front office schedule patient for an appointment.4. Specialty Clinica. Attendance required at all specialty clinics.b. F/u of any tests ordered during specialty clinics.c. Determine if referrals to specialty clinics are complete and appropriate.5. Clinic Practice Management.a. Must complete all C1 responsibilities prior to leaving clinic (last work-in can bescheduled up to 4:45pm).b. Collaboration/teamwork important. Front Office and nursing staff look to C1 fordirection (i.e. responsibilities, attitude)c. Role model for other residents on C1 protocol.d. Complete C1 evaluation at end of rotation.Page 133 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc